Psychotherapy and Chronic Pain: An Interview with Alison Bowles

Here’s an online interview with my wife (and PoT blogger) Alison Bowles, conducted by Raymond Barrett of the Telehealth Certification Institute in Canandaigua, New York. Alison is a psychotherapist in private practice with an on-ground presence in Manhattan, and a developing online practice.

The interview focuses on an under-discussed issue in therapy–therapy with people suffering from chronic pain. We hear so much about the “opioid crisis” that we forget that it’s overshadowedby a long shot–by a chronic pain crisis. There’s also a dangerous trend in mental health of pretending that chronic pain conditions can be managed and resolved by the magic of mindfulness and meditation. Though many studies suggest that such claims are nonsense, that hasn’t stopped the mindfulness gurus from making them: Continue reading

Somebody Get Me a Shot: Further Adventures at CVS Pharmacy

This article in The New York Times–“Why You Should Get the New Shingles Vaccine“–reminded me of  yet another frustrating conversation I recently had at a pharmacy. Here’s the last one. Before that, I had a pharmacist tell me that Ambien wasn’t habit-producing, and that I could stay on it indefinitely, for years (!). What the fuck are they teaching in the pharmacy schools nowadays?

Now that I’m freely divulging my personal health information, I may as well tell you that on my last visit to Planned Parenthood, I discovered that for all the crap they sling about the importance of getting tested for the full panel of STDs, the average Planned Parenthood center often doesn’t test for any of them on site except gonorrhea, syphilis, and HIV–whether you pay out of pocket or not. If you ask why, they’ll just shrug their shoulders and look blankly at you, as though they hadn’t the foggiest idea as to the answer. In other words, I can attest from personal experience that most of the information on this page is bullshit: it lists a series of STD tests, claims to offer them, but doesn’t. I know better than to think that being tested for gonorrhea, syphilis, and HIV is “safe enough” or “good enough” for safe sex. I also have health insurance and a primary care physician. But that isn’t true of everyone. Any guesses as to the results? Continue reading